Opioids Flashcards
Morphine
MOI: primarily mu, some kappa & delta agonist
uses: analgesic, anti-tussive
CI: respiratory dz
Adverse effects: dose-related CNS, CVS, respiratory depression, GI stasis, vomiting
cross BB: yes, intermediate
elimination: metabolized by liver
Why is half-life morphine longer in cats?
no glucuronidatio in cats
Naloxone
kappa, mu, delta antagonist
reversal for opioid tox
induce opioid withdrawal response
not controlled substance
Butorphenol
kappa agonist; mu agonist/antagonist
analgesi
AE: CNS excitement/sedation, GI stasis, vomiting
4-7x more potent analgesic compared to morphine-less respiratory depression
Fentanyl
mu agonist
analgesic
AE: dose-related CNS, CVS & respiratory depression, GI stasis, vomiting
BBB yes
liver
80-100x more POTENT than morphine
how do you treat opioid toxicity?
naloxone
What combination of drugs can you use to have neuroleptanalgesia?
dopamine antagonist (neuroleptic) + opioid